Organization
MARY T HOME HEALTH INC
Active
Parent organization
MARY T ASSOCIATES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY T ASSOCIATES INC
Authorized official
DEBORAH ANN WEISS (DIRECTOR)
(763) 862-5426
Entity
Organization
Contact information
Practice address
11777 XEON BLVD NW, COON RAPIDS, MN 55448-2060
(763) 862-5436
(763) 754-0332
Mailing address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(763) 862-5436
(763) 754-0332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
331577
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880433
—
MN
Enumeration date
02/13/2008
Last updated
07/17/2024
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